tv [untitled] June 18, 2013 4:30pm-5:01pm PDT
hi, my name is jason and i am a peer advocate with asian and pacific islander wellness centers health clinic serving the tenderloin area. i am also a former client of the case health clinic, formerly tenderloin health and before that continuum. i've been conchronically homeless and used drugs since i was a teenager. in 2000 i was really ill with sepsis and it was at st. luke's hospital over a year. after release i was appointed with a nurse who connected me with continuum. i was in a wheelchair and wasn't sure i would walk again, here i am today. for some people it took hitting rock bottom and that's what it took for me to stay alive. at the day program in continuum i was able to get something to eat, a safe place in the tenderloin to learn harm reduction and find people who are rooting for me and help facilitate changes i needed to make. these services continue today at case.
i am afraid that if these services are cut, people will end up in the emergency room for things that could have easily been prevented through outreach and engagement. the case health clinic provides. ~ going to their emergency room was a monthly occurrence for me, but in the last five years i've only had to go a few times. i don't think it's fair that i was able to get help, get support, get healthy, get housed, and most importantly, get employed and educated while others might not be able to have those opportunities if these cuts go through. i would humbly like to ask you to find a way not to have these cuts go through. thank you very much. >> next speaker. hi, my name is nathan [speaker not understood] and i am an hiv care advocate at the asian and pacific islander wellness center. i'm a respected member of the community but the road i've traveled has been long and hard. i discovered i was hiv positive in 1999 and finding out i was
hiv positive turned my world upside down. at the time i was a student at sfsu but i had to drop out because of financial and psychological hardship. it was hard for me and my family. i could not live at home and with my family and with my family and i was unstable for 18 months. being in the jay system i was stuck in the cycle made me more depressed with such low self-esteem it was hard to do anything. i foundation and pacific islander wellness center in 2002. i got put on a housing wait list and i was happy to say nine years later my name came up and i am now able to focus on my work and life without worrying about where i'm going to live. i'm been a peer leader at the wellness center since 2007 and also help people care for people living with advanced hiv. i never believed i would be respected, but i see that people in the community look up to me. there are people out there who are going through what i've been through and i want to give back to the community and to the people who i help. without the help of case managers who were involved in my care, i don't think i would
have been able to stay in treatment. if funding is cut, clients will not have their scheduled monthly social network meeting that gives them the safe space to meet work clients receive educational and treatment information. without our help some clients may not be able to navigate the system. if cuts go through, clients may disengage in care and not adhere to their medication and treatment. i have been under [speaker not understood] since march 2013. these proposed cuts will hurt me and all the people that help out at hiv wellness center. please support us in taking care of our health. thank you. >> thanks. next speaker. hi, my name is stephanie goss and i'm [speaker not understood]. i'd like to read with your permission a speech by one of our clients who unfortunately was not able to be here but she was very excited and wanted to share this with you.
hi, everyone, my name is joline and i am from kansas city. i ran away at 17 because my stepfather abused me. eventually i ended up homeless. i came to san francisco in 2008. that's when i tested positive for hiv. my doctor told me i only had six months to live. five years later here i am. around the same time i was diagnosed bipolar disorder and started my transition to become a woman. it's hard living with hiv, being bipolar, and homeless. back then my t-cells were way down. when i went to casey started to get better. doing all these positive things makes my life more better. for the past year my viral load is actually undetectable. i feel 100% super about this. i love chase. they help me solve. they really help me feel more human. they make me feel 100% like i'm somebody. i feel like myself. we've done a lot of good things, me and the wellness center.
we changed my health. we hope you keep supporting our work. please don't cut our budget. thank you. good afternoon, my name is david [speaker not understood]. i'm the media and communications coordinator at asian and pacific 52nder wellness center. i'm here to talk on behalf of one of our clients who was here earlier but couldn't stay because they had a 4 o'clock appointment. hi, my name is mark keefe. i'm 24 years old and a gay man. i'm homeless, hiv positive and a client at case. my step mom and i didn't get along. she was abusive. i ran away seven times before they decided to put me in foster care. i moved six times in just two yearx. i became homeless in 2007. ~ i started using drugs a year later. i moved to san francisco in 2008 to find support in a different environment. two weeks later i found out i had hiv. my hiv treatment was constantly changing because of the way my psych meds affect my hiv meds.
i'm bipolar and it has been an up and down process. my doctor at case helps me manage how the drugs affect each other. i've only been on meds two months now but now i'm undetectable. i'm really glad and i'm really proud of myself. it takes a lot of work. at case i have stability. i'm there all day and live right around the corner. right now where i live there is a big posit of drug dealers. to get away from the temptation to use i go to case. as my safe cell. a year ago i used to smoke every day. now i'm only smoking twice a week and that is just with the help of case. case has been there for me, case is my home, they're my brothers and sisters. at case we are all building a healthier tenderloin community. i'm proud of that. i hope you're proud to support us, too. please continue to invest in us and in our community. thank you. >> next speaker. hi, my name is [speaker not understood] and i've been living with hiv since 2003.
before i tested positive i was gainfully employed living in nob hill and i used drugs sometimes. but after i tested positive i started using [speaker not understood]. eventually i lost my job, lost my health insurance, and was living in an sro. things went from bad to worse. in 2007 i found [speaker not understood] wellness center, was able to see a doctor, talked to a case manager and find a social community. they really helped me navigate the system. but because of my drug use i was not able to be on meds yet. my doctor told me i could develop resistance if i skip doses because i was to* too high. without treating my drug addiction first i really couldn't treat my hiv even if i had access to a doctor. so, in 2011 things got worse but i knew i couldn't hide behind the drugs to cope with my life any more. i asked my case manager, my peer advocate and staff at wellness center to help me get into rehab. it was hard, but i got clean and i was able to get on hiv meds and i stuck to my regimen since then.
i've been clean for over two years now and my t-cell counts have improved dramatically and my hiv viral load is undetectable. i feel proud of myself. the safety net help me when everyone gave up on me. what would happen to me and all the hiv people in san francisco if that safety net is taken away? i want to be sure that safety net is there to catch others, too. we're all testifying today to take responsibility for our health. we're investing in us and we ask you to invest in us as well. thank you. >> next speaker. good afternoon. my name is andrei robertson and i am the project director at api wellness. i'm here today to talk about the cuts proposed at the center for the tenderloin tase clinic. it amounts to [speaker not understood] but it will impact about 75 clients. the impact will either affect the amount of services
delivered and/or those types of services. what is significant is tase 60% of clients have undetectable viral load. this is significant because the clinic is outperformed other clinics in the city -- in a city that outperforms nationally. the u.s. centers for disease control estimates that the lifetime cost of hiv care is about $380,000. but for our clients that is only a base amount. many of our clients are high need, triple or quadruplely diagnosed with co-morbidities such as chronic liver disease, hepatitis, diabetes, along with a myriad of other medical and social problems significantly adding to the overall cost of hiv care. when cuts are implemented, it is hoped that clients will receive services elsewhere and they will. they will cycle in and out of the emergency room, psychiatric emergency services, and the homeless -- [speaker not
understood], significantly adding to the cost of care. many of our clients may become high users of medical services. the average [speaker not understood] client uses about $42,000 per year. if just three of our clients drop out of services, that cost could range up to $126,000 per year and that will negate any cost savings proposed by these cuts. please find a way to keep the services in the city intact. thank you very much. >> thank you. next speaker. hello. want to personally and publicly thank supervisor david campos for your stalwart support of our community's most earnest endeavors, first and foremost of today's outcome. i wish i could say that by being here again we've done
ourselves less than justice. unfortunately, i can only say i believe we have done ourselves justice. ladies and gentlemen of the board of supervisors, i respectfully submit that actions speak louder than words, and come election time, you want to win the latino vote. but do you want latinos to win? it would be impossible not to, i trust. thank you. >> thank you. next speaker. next speaker. hello, everyone. my name is juan [speaker not understood]. this is my first time here and i'm speaking. i work at [speaker not understood] and the first time that you come into san francisco, i'm very sad. i feel a couple times dying because the service -- they cut a lot of stuff in orange county.
i'm over here and i hear again, sometimes i wonder, you know, sometimes i don't want to livni more because there's a lot of [speaker not understood]. how they think the people living with hiv? you feel living with hiv? i work with [speaker not understood]. i support my community and i want to continue working and i want to still work in my community because that one is for help my community is not only for latino. it's for each one. it's all my community. i want to support, i want to hear, you know, for everyone. so, i want [speaker not understood] there is no cut of service, hiv service. so, i think -- think about
don't cut any service. before cut, think about it, all the people here. thank you. >> next speaker. good afternoon, supervisors. thank you. my name is [speaker not understood]. i'm here to support my group [speaker not understood]. please, i ask you not to cut the funds because it's a group, we receive great service. mainly it's prevent the hiv -- the people prevent, not to get infected. they are a great deal. we are grateful to live in the great city of san francisco because the city open the doors to gay people, especially latinos. and also i serve [speaker not understood] i'm very glad i live here in america because this is a great country, beautiful and generous.
and as -- i ask you please be generous not to cut our funds. thank you. >> next speaker. good afternoon, my name is antonio [speaker not understood] and i am an immigrant from guatemala, have been here for about 30 years. and from the moment i arrived, which was when i was about 17, i joined the groups that eventually became agiles. i've been with it before it was [speaker not understood]. apart of that i also have been a volunteer, receiving services and food lately. one of the things i just wanted to point out is that throughout the three years living in the city, i have seen progressive cuts to all the different services serving the community -- latino community. the concern i have in
particular in addition to the fact that everything has been said about how this program has proved to be successful and what the cdc calls evidence-based, one of the things that i'm concerned about is the majority of us -- generalizing realize r -- latino gay immigrants, we don't have any families here with us. we only have neighbors or acquaintses from my country. and this place has [speaker not understood] in particular has served not only as a safe house for me, but also as a place where i've been able to not only educate myself about hiv, but receive the services and support services i needed to become a supporter of my community. so, i ask you to please consider everything you've heard so far and i thank you. >> thanks. next speaker. good afternoon, supervisors.
my name is douglas yip. i've been in san francisco 65 years. i've seen everything and i barely, barely survived 20 years at san francisco general hospital. let's be honest. the reason why there are cuts for health care in san francisco, there are two bodies responsible for at least seven years, if not further. number one, mayor's office. number two, board of supervisors. during the last seven years, nothing has been done in regards to cutting the waste, inefficiency and corruption of department of public health. every single penny could be going to the poor people that you supposedly serve, but i don't see any audit. in my opinion, the mayor's office and all the past boards of supervisors have actively,
actively prevented any full public audit of the department of public health. every penny that could have been saved over the years would have gone to the poor people. so, if all the poor people in san francisco have anybody to blame, i say hold a sit-in at every supervisor's office. hold a sit-in at the mayor's office and do not leave until they give you back what they took away from you all these past years. in my opinion, i say shame on the board of supervisors. shame on the mayor's office. and you may be able to fool most people with that fancy talk, but you don't fool educated people. we all know where the money goes and we all know ultimate responsibility board of supervisors and the mayor's office. i say shame on every one of you for what you have cheated the
poor folk all these years. >> thank you. next speaker. yes, my name is ebony jones. i am here on behalf of ifr. i am a client of this hiv agency receiving case management services over all the other agencies receiving mental health services, people living with hiv and aid and transgender women, which i am. for our community, it is very supportive of me, please do not cut our funding. we need more support to help us with our lives. thank you. >> next speaker. good afternoon. my name is sally gomez. i work at [speaker not understood]. and i provide case management services in collaboration with
forensic aids project doing [speaker not understood] for the transgender component, part a jail. and i'm just here to please let you guys know, don't cut no more services. we need more money. instead of getting cut, don't cut [speaker not understood]. don't cut fiscal aid, and please don't try with with aguiles. we need the services. every day i go to work, i see the need that my community hasment every day. it's a constant struggle. housing, you know, we need housing, we need other services. instead of cutting, give us more money because that's what we need. i see myself, too, as a community member because any given day, i mean, a job is a job, but i could become a community member and i've been there, i've been homeless. i know homelessness. i noaa dixon. i know mental health, so, please, i'm asking you kindly, don't cut more funding. please consider us because we need our funding for our community that is crying for help.
don't cut the youth and don't cut people living with hiv. as it is, we're already dying out there and we need more money. seriously. thank you, and, yeah, have a good evening. >> thank you, you, too. next speaker. good afternoon, my name is anthony garcia, and i want to [speaker not understood]. five years ago when i came to san francisco, i came with a [speaker not understood] and a viral load of 600 million. these two services that instituted for me at la raza, stone wall, and aides housing alliance that i'm now able to see a brighter future in my life. it is sad for me to see that these services are cut for my brothers and sisters present in this room and they're not able to benefit of these services because every day, less available and less shorten, even shorter. so, at the same time i seen this beautiful city that there are bus stops making like
things services with touch screens and solar panels. we don't need more bus stops, we don't need fancy bus stops. we can use that money for services like what we need now. [speaker not understood] to get to a bus stop. it doesn't make sense. so, please help my community which by the same time i know is your community because we are all infected or affected by hiv aids. so, please do not put that money into something that might not be needed and you are going to have to repair anyway at some point. thank you. >> thanks. next speaker. hi, my name is scott jake on object son. ~ jacobson. [speaker not understood]. i've been clean and sober and i couldn't have done it without these services. i'm back in school, permanently housed, 30 pounds heavier. before 17 months ago i didn't think i could finish let alone with my school. [speaker not understood]. please don't cut these services.
they are so needed and they actually do work. thank you. and also i'd like to thank the people [speaker not understood]. thank you. >> thank you. next speaker. hello, my name is [speaker not understood] and i'm part of the latino lgbt community in san francisco. aguiles gave me so much particularly last year when i lost my job and my health insurance. and it was very -- a rough year for me because of my hiv status. and aguiles helped me deal with my depression. hiv support groups to get a support system i didn't have in san francisco. and hiv health information to help to regain my health. more over, aguiles gave me an opportunity to work as a volunteer with them and give back to my community. it is a safe place where i can get support, be with my community and get hiv services unlike any other organization.
please don't make the cuts because we are going to lose this extraordinary organization that has helped my community for so many years. thank you. >> thank you. next speaker. good afternoon, supervisors. my name is ko shik roy. i'm the executive director of the shante project one of the city's oldest nonprofits for hiv aids and cancer. now in our 39th year of service we will support approximately 2000 hiv positive individuals and would really like to urge you to not -- to stem the cuts that have not only happened in the recent years, but really is a part of a larger historical trend. and what i mean by that is over a decade now, every year the amount of funding that san francisco has received from the federal government for hiv services and prevention has decreased. at the same time every year, the number of people who are living with hiv or aids in san francisco has increased and there really is nothing else
left to cut. and any money that is not restored is going to mean people who need these services the most will not receive them. at shante the program that is affected by these cuts would be the hiv services program which supports some of the most vulnerable hiv positive individuals in this city, individuals who in addition to their hiv status are oftentimes marginally housed or homeless or doubly triplely diagnosed with substance abuse or mental health issues. really, we make a pledge to these individuals when they come to shante they will have at least one compassionate source of advocacy and support so they can access the medical services they need and receive all the support they need. and it is on their behalf that we really urge you to try to backfill these cuts and not let any other services be cut. thank you so much for your time. >> thank you very much for your service. next speaker. good afternoon, supervisors. my name is darren lamelli and i am a mental health worker and i
work for progress foundation. i've been a mental health worker over 15 year. i'm also a native san franciscan. and i want to talk about priority and where the money is going in this city. i've seen an increase or rather a decrease of services happening in the city and it's greatly affecting our most vulnerable [speaker not understood] and homeless. i work with mentally ill seniors that have a diagnosis of a mental health diagnosis as well as usually drug and alcohol issues as well. and there is no place to send these folks. when they leave our program, there's no housing. they can't afford to live here. they can't afford a lot of the outside services we used to send them to. they're no longer available. so, we're working in conditions where we have to provide services for our clients that we don't have. and, so, i'm asking you to please prioritize the funding to our people here in san
francisco. i want you to think about your own parents. i want you to think about -- what would it be like to see your own parents out living on the street? you wouldn't bear it for two seconds. so, we have to think of our seniors here as our parents. we have to look at them, even though technically it may not be our parents, they are. and i've learned more from our clients over the years that i've been doing this work than in school or anything that i've done. so, i implore you to please appropriate the funds to prioritize it to our seniors, to mentally ill, to our program here in the city. thank you. >> thank you. next speaker. good afternoon, supervisors. my name is peter maziak. i'm an organizer with [speaker not understood] working with nonprofits in san francisco. first i just want to say this is the shortest bielenson line i've ever seen. the line is not in the hallway, there are no overflow rooms and i've seen in past years when the cuts have been 10, 20 times
as bad, this board do some amazing things. and i hope that you bring the same passion to restore cuts that you do when the situation has been much worse. with that being said, you know, i think we have the money here. we don't have any funding problem. i think we have a little bit of a priorities problem. san francisco ought to be and continues to be a leader in hiv services and prevention, especially when the federal government drops the ball, i think it's important for a place like san francisco to lead by example and pick that up and show it's really possible. and i think there is enough money to backfill all these cuts and also even provide for some increases. we've dealt with so many cuts over the last years to establish now a new baseline is to basically disrespect all the work that's been done by a lot of these amazing nonprofits. [speaker not understood] there are a lot of creative things we can do. we have, you know, the boondoggle, the america's cup
still not getting the money we think. we have a kaiser rate increase that is giving millions to a very successful company and i think that what we have here in san francisco, we always have a budget [speaker not understood] document and we have an obligation here in the city to show that we care about the city's most vulnerable and we care about the workers who work with the city's most vulnerable. thank you. >> thank you. next speaker. good afternoon, supervisors. my name is gus feldman. i'm a field representative with seiu local tenderloin and i have the proud, proud honor of representing 1600 workers at san francisco general hospital. we represent people who are the porters, the lvns, the cpd technicians, people who sterilize the medical instruments, everyday heroes who are saving the lives the city's most vulnerable. i'd like to first start by secondinging all the comments made by the two previous speakers as i am also a representative of seiu tenderloin 1.
i'd like to is speak more specifically to the dph budget as it pertains to the san francisco general hospital. what peter said earlier right before me is absolutely true. we do not -- we're very fortunate in the fact we not have a budgetary issues this year like we had in previous year. we don't have a funding problem, we maybe have a priorities problem. with that, the dph budget, while it doesn't have the drastic cuts that we've seen in previous years which is positive, there is still plenty of room of improvement. right now there's critical, critical under staffing in san francisco general hospital and if we want the hospital to succeed, if we wanted to really be a provider of choice in which it can capture revenue and excel with the full implementation of the affordable care act, we need to ensure that it is adequately staffed. we did zim propertivs in this year's proposed budget in more porters, more 23 03 patient kara sis tabtionv and 29 03 eligibility workers. however we really have
critical under staffing, 26.04 food service worker, 23 90 central processing and distribution techs and 23 92, surgical procedures technicians due to under staffing they can't provide at quality services. they can't get [speaker not understood]. they're being worked to the bone and they can't serve the public properly. thank you. >> thank you. next speaker. hello, my name is lacy johnson, i'm a counselor at [speaker not understood] foundation. i work at an adu which is an a conditional use diversion unit where people can stay two weeks after they get 51 58, they can come there from pas. progress is not getting cut, but many other programs and agencies who we work with are getting cut, and we are all connected. basically what this means for where i work at the adu level is that it is more acute where i work where there used to be so many